Advancements in bariatric surgery have yielded an unprecedented number of options for patients looking to improve or eliminate the diseases associated with morbid obesity and lose weight along the way. Each of the many weight loss surgery options present strong benefits and risks. Minimally invasive, non-surgical procedures such as the weight loss balloon may be appropriate for some patients, while a combination malabsorptive and restrictive procedure such as the gastric bypass may be appropriate for others. Following, we will briefly describe the ideal candidate for each procedure, however it is important to remember that the patient’s circumstance and their suitability for one surgery versus another can only be established during a consultation – This is purely a rough guide:
Anyone who has dieted knows that the first phase of weight loss is exciting and far easier than maintaining that weight loss over the long-term. There are both physical and psychological reasons for this phenomenon. The weight loss process after bariatric surgery is no different. Many patients hit the ground running right after surgery and lose a significant amount of weight for the first two years after their procedure. From that point onward, weight loss and weight maintenance become somewhat more difficult and some patients may even begin to regain some of the weight they lost. Indeed, for almost every procedure, five-year excess body weight loss numbers are lower than the two-year figures. Does that mean that, even with bariatric surgery, we are destined for failure? The short answer is no. Let’s explore:
In an effort to give you the most comprehensive answers to common questions and topics, we have updated this blog post which was originally published in 2012. In this update, we will explore the nuances of hernia surgery – about when a patient can reasonably wait to have hernia surgery and alternately when they should have it as soon as possible. Of course, every situation is unique and a consultation with qualified surgeons such as those at ASA is the best first course of action.
There are many types of hernia – inguinal, femoral, incisional, umbilical, hiatal and more – each with their own set of complexities. The one commonality between them is that many of these hernias can start as very minor, causing minimal pain and discomfort. The fact that hernias can seem so benign offers a false sense of security. The thinking is that since there is little or no pain, the hernia is fine and doesn’t need repair.
Gallbladder removal surgery is one of the most common general surgeries performed in the United States. And while the gallbladder is not a necessary organ, gallbladder disease can be uncomfortable, painful and even dangerous. That is why patients with confirmed gallbladder problems – usually found through a simple ultrasound – are encouraged to undergo gallbladder surgery as soon as possible to avoid emergency situations and the associated complications. Of course, every patient is concerned about the risks of surgery, but there has also been a good amount of information disseminated to the public that simply does not jive with reality.
One of these is the idea is that somehow you will inevitably gain weight after your gallbladder surgery. Nope.
Exercise represents a huge part of any weight loss program – Bariatric surgery or not. However, one of the most frustrating parts of exercise is that most of us do not lose any weight in the first several months – In fact many of us will actually gain weight during that period. This can be an extremely frustrating and demoralizing issue and it often leads to quitting a successful exercise program.
Before we go any further, it is important to understand that this weight gain is normal, expected and actually very healthy with one very notable exception. Exercise triggers hunger and it does so because the body requires calories to maintain muscle mass. As we diet, our bodies may actually consume muscle mass so we need more calories to prevent that. This is the basic reason behind why most heavy weightlifters are very strong but not necessarily thin, while those with the “chiseled” abs may not necessarily be very strong. So, please remember that if you find yourself eating quite a bit – maybe even too much – after your workout, your calorie consumption may need to be addressed to match your goals.
New Year’s resolutions will likely be in the forefront of your mind over the next few months. And while we often don’t follow through with every resolution, starting afresh at the beginning of the year is a great way to eliminate the frustrations that we’ve had in our weight loss journey thus far. It also allows us to look forward to new and exciting developments and possibilities in the new year. Many of our patients cite a desire to improve their diet and exercise regimens as the most important New Year’s resolution. And with that, many of you may wonder if it is better to focus on diet or exercise. The answer is both, for different reasons.
Dr. Feteiha was named a New Jersey Monthly Jersey Choice Top Doctor in the November issue of the magazine.
New Jersey Monthly commissioned an independent survey by Leflein Associates, a locally owned research firm in Ringwood. A questionnaire was mailed to all New Jersey-based physicians who have been licensed by the state for at least five years. The mailing list, which is used by the state Board of Medical Examiners for licensing purposes, was obtained from the New Jersey Department of Consumer Affairs.
Once all the eligible votes were tallied, doctors with sufficient votes were placed on a preliminary list. Any doctor who has been disciplined for a serious infraction by the state medical examiner was excluded. The preliminary list was submitted for professional review to a panel of doctors chosen from among top vote-getters in last year’s survey.
Summer is here, and that means thoughts of lazy beach days, dips in the pool, and a little less clothing. It can also mean that we are tempted to push our exercise routine into high gear. But as your bariatric surgeons, we have to give you the boring, but important, tips to stay healthy, safe and injury-free during your new workouts. Following are a few tips to make the most of your exercise routine, but also avoid the pitfalls that can set you back.
There is no lack of advice on all the ways that you can lose weight by modifying the way you work. Unfortunately, many of these tips and tricks, such as sitting on an exercise ball instead of an office chair, or standing while working, do not address the most dangerous part of our daily work and home habits – the sedentary lifestyle. While many of these tips can add to a healthy new lifestyle, some can harm us. So, before you subscribe to the latest fad in workplace weight loss, consider a few ideas:
Eating properly day-in and day-out is hard. Even harder is finding the time to cook a delicious, healthful, homemade meal while managing your busy schedule. To help you get through the week and still enjoy what you eat, you may want to consider prepping food for the entire week the weekend before. Of course, this is easier said than done; but once you realize how much time you save during the week, you’ll wonder why you didn’t do this sooner.
Before we get started, it’s important to remember that the key to making this work is solid planning and preparing a variety of foods. Eating the same old thing every day, even if it is something you like, gets old very fast. Prepping a few staples that can either be eaten as a meal, a side dish, or a snack will not only save you time, but may become your new normal once you see how easy and efficient it can be.